EUROPEAN SUMMER SCHOOL ON SOCIAL ECONOMY (ESSE)

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1 EUROPEAN SUMMER SCHOOL ON SOCIAL ECONOMY (ESSE) 4rd Edition Personalisation and Social Entrepreneurship July 6 th 11 th, 2015 University Residential Centre, Bertinoro (FC), Italy APPLICATION FORM Please read the following instructions carefully before filling out the application form. They are designed to assist you in completing your application to the Summer School. 1. The final due date for the application is April 15 th, Applications to the Summer School are assessed on the basis of the information you provide in this form. Please write the required details and check boxes where applicable. A complete Curriculum Vitae is requested in order to apply for the school. 3. Further information regarding the payment of the fee will be given to the selected participants after confirmation of acceptance. In any case, the deadline for the payment is May 15 th, Applications turned in after April 15 th, 2015 will only be considered if places remain in the programme. Tuition Fee: The completed and hand-signed form should be sent to any of the addresses listed on the last page.

2 Section 1: PERSONAL DETAILS Family Name/Last Name: Your file will be catalogued under this name. Given Name/First Name: Title Male/ Female Date of Birth Day Month Year Nationality Mailing Address: address: (Please print clearly) Telephone number: (With international code) Occupation and Employer: (If a full-time student, please state your academic institution here)

3 Section 2: ACADEMIC and EDUCATIONAL BACKGROUND Summary of Academic Background: University Degree Type Subject Result Date awarded or expected UNDERGRADUATE: GRADUATE: POSTGRADUATE: Brief Curriculum Vitae: (200 words, please attach a full CV to the Application)

4 Language Requirement: Enter any information about your language skills and further information about test type (e.g. British Council, IELTS or TOEFL, Cambridge First Certificate) with your score/grade and date of test in the box below (follow the model given in the Common European Framework of Reference for Languages: Learning, Teaching, Assessment) Native language Other: English Spanish French Listening Reading Speaking Research Project Description: Please provide an abstract of your project briefly defining the theoretical and methodological background and the main research questions (max. 500 words)

5 Academic Reference (only for students): Please give details of a person whom we may contact concerning your application and student/work status. Name: Position: Address: Motivation Letter: Please write why you re interested in applying to this school and what your main motivations are. (max. 500 words)

6 Section 3: DISABLED APPLICANTS (including applicants with specific learning difficulties) The School encourages applications from disabled students. We kindly recommend you to inform us about your disability at this early stage so that we can make any necessary, reasonable individual arrangements. Please indicate below the nature of your disability and if you think you might require individual arrangements while you are at the School. Once we have this information, we will contact you directly.

7 Section 4: GENERAL INFORMATION Do you intend to apply for a scholarship? YES NO Have you attended other Summer Schools during the last two years? YES NO IF YES, please give details: Where did you learn about ESSE? Internet University Academic Referee Network (please specify): Friends Students or Colleagues Employer Other (please specify): Date Signature (hand-signed)

8 If you require further assistance in completing the form please contact the Summer School Office. Fax: Post: European Summer School on Social Economy Prof. Andrea Bassi c/o Università di Bologna, sede di Forlì, Scuola di Economia, Management e Statistica P.le della Vittoria Forlì

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